Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John K Hickey, PA

Individual provider Physician Assistant · NPI 1528155009

John K Hickey, PA is a Physician Assistant in New Haven, Connecticut. Qualified in 1999, 27 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

20 York St - CB2041 Mill Hill Medical Conslutants Inc
New Haven, CT 06504
Phone: (203) 688-4748
Fax: (203) 688-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001765 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 001765 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 001765 (CT)

Record details

NPI number1528155009
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESApril 26, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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